The electrocardiographic abnormalities found in 100 patients with acute cerebrovascular disease and previously normal hearts are described. The ab normalities were more often seen in patients with intracerebral and subarach noid hemorrhages. The most common changes were Q-Tc Prolongation and ST segment and T wave abnormalities. The mechanisms of these electrocardio graphic abnormalities appear to be multiple.
Yamour BJ, Sridharan MR, Rice JF, et al: Electrocardiographic changes in cerebrovascular hemorrhage. Am Heart J99:294-300, 1980.
3.
Myers MG, Norris JW, Hachinski VC, et al: Cardiac sequelae of acute stroke. Stroke13:838-843, 1982.
4.
Samuels MA: Electrocardiographic manifestations of neurologic disease. Semin Neurol4:453-461, 1984.
5.
Mikolich JR, Jacobs WC, Fletcher GF: Cardiac arrhythmias in patients with acute cerebrovascular accidents. JAMA246:1314-1317, 1981.
6.
Lipman BS, Dunn M., Massie E.: Clinical electrocardiography, ed. 7. Chicago: Year book Medical Publishers Inc. 1984, pp 259-260.
7.
Kreus KE, Kamila SJ, Takala JR: Electrocardiographic changes in cerebrovascular accidents. Acta Med Scand185:327-333, 1969.
8.
Surawicz B.: Electrocardiographic patterns of cerebrovascular accidents. JAMA197:191-197, 1966.
9.
Melin J., Fogelhohm R.: Electrocardiographic findings in subarachnoid hemorrhage. Acta Med Scand213:5-8, 1983.
10.
Gason P., Ley TJ, Toltzis RJ, et al: Spontaneous subarachnoid hemorrhage simulating acute transmural myocardial infarction. Am Heart J105:511-513, 1983.
11.
Mcleod AA, Neil-Dwyer G., Meyer Cha, et al: Cardiac sequelae of acute head injury. Br Heart J47:221-226, 1982.
12.
Burch GE, Myers R., Abildskov JA: A new electrocardiographic pattern observed in cerebrovascular accident. Circulation9:719-723, 1954.
13.
Goldberger Al : Recognition of ECG pseudoinfarct patterns. Mod Concepts Gardiovasc Dis49:13-18, 1980.
14.
Yanowitz F. , Preston JB, Abildskov JA: Possible role of uni-lateral changes in sympathetic tone in the production of neurogenic electrocardiographic abnormalities. Circulation32:II-223, 1965.
15.
Hammermeister KE, Reichenbach DD: QRS changes, pulmonary edema, and myocardial necrosis associated with subarachnoid hemorrhage. Am Heart J78:94-99, 1969.
16.
Abildskov JA : Electrocardiographic wave forms and the nervous system. Circulation41:371-373, 1970.
17.
Cruickshank JM, Neil-Dwyer G., Stott AW: Possible role of catecholamines, corticosteroids and potassium in production of electrocardiographic abnormalities associated with sub-arachnoid hemorrhage. Br Heart J36:697-706, 1974.
18.
Koskelo P., Pensar S., Sipila W.: Subendocardial hemorrhage and ECG changes in intracranial bleeding. Br Med J1:1479, 1964.
19.
Komrad MS, Coffey CE, Coffey KS, et al: Myocardial infarction and stroke. Neurology34:1403-1409, 1984.
20.
Rolak LA, Rokey R., Harati Y., et al: The clinical significance of coronary artery disease in patients with cerebrovascular disease. Pract Cardiol14:25-31, 1988.
